| NPI | 1225150451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NH 0119) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VT 041-0000228) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |